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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard Date run: 4/3/2017 <br />Submitted on: 3/8/2017 4:07:26PM CERS ID: 10185039 <br />Submitted by: Aditya Mohan Email: adi@zenithmach.com Facility ID in CERS: FA0015873 <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 1 <br />OW0012794 <br />ZENITH MACHINING INC <br />124NEST <br />STOCKTON, CA 95205 <br />209-949-2411 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0015873 <br />Facility name <br />ZENITH MACHINING INC <br />Site address <br />124 N E ST <br />City <br />STOCKTON <br />ZIP code <br />95205 <br />Facility phone <br />209-227-7394 <br />Facility mailing address <br />124 N E ST <br />Adi@zenithmach.com <br />STOCKTON, CA 95205 <br />BILLING INFORMATION <br />114, 115,116 <br />Contact name <br />ZENITH MACHINING INC <br />Address <br />124 N E ST <br />124 N. E st <br />STOCKTON, CA 95205 <br />Contact phone <br />Not Specified <br />Contact email <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Aditya Mohan <br />111 <br />Adi@zenithmach.com <br />113 <br />Stockton, CA 95205 <br />114, 115,116 <br />2099492411 <br />112 <br />Zenith Machining Inc <br />3 <br />124 N E ST <br />103 <br />STOCKTON <br />104 <br />95205 <br />105 <br />2099492411 <br />102 <br />124 N. E st <br />108a <br />Stockton, CA 95205 <br />108b, 108c, 1084 <br />Aditya Mohan <br />140 <br />124 N E ST <br />143 <br />STOCKTON, CA 95205 <br />144, 145, 146 <br />2099492411 <br />141 <br />Adi@zenithmach.com <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRAHW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: _ <br />Assigned to: <br />Please bill: [ ] full calendar year [ j prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: 1, —Date: <br />-------------------------------------------------- <br />Accounting: Reviewed by: th Date: 4,1011 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 2 chem units PR0523494 ROBERT LOPEZ Active [ ] I 1 <br />2220 - SM HW GEN 45 TONSNR PRO538497 PAULINE MANGRAI Active [ ] [ 1 <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0531563 not assigned Inactive [ ] [ ] <br />